@layout("/common/_form.html",{js:["/assets/modular/setting/customerService/customerService_edit.js"]}){

<form class="layui-form" id="customerServiceForm" lay-filter="customerServiceForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">邮箱<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="email" name="email" placeholder="" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">备注</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入内容" class="layui-textarea" name="remarks"></textarea>
                        </div>
                    </div>
                    <!--  <div class="layui-inline layui-col-md12">
                          <label class="layui-form-label">0.正常,1.删除<span style="color: red;">*</span></label>
                          <div class="layui-input-block">
                              <input id="deleteFlag" name="deleteFlag" placeholder="" type="text" class="layui-input" />
                          </div>
                      </div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn layui-btn-sm" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-sm layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;
        </button>
    </div>

</form>

@}